Avance - GE Healthcare

GE Healthcare
Avance
Innovating with you, shaping exceptional care
Features
• Complete patient monitoring capabilities: respiratory gas, hemodynamic and adequacy of anesthesia
• Our state of the art electronic gas mixer with pneumatic back-up control
• Full color displays
Advanced Breathing System (ABS™)
• Minimal number of parts and tube connections greatly reduces the potential for leaks and misconnects
• Ease of disassembly (no tools)
• Fully autoclavable and latex-free
Superior Ventilation Options
• Volume Control, Pressure Control, PSVPro® (Pressure Support with Apnea
backup mode), Synchronized Intermittent Mandatory Ventilation (SIMV)
(Volume and Pressure), electronic PEEP
• Tidal volume compensation
• One motion from mechanical to manual mode
• Two key presses to total standby: end case
• Cardiac bypass case mode
Exceptional Design
• Generous storage and work surface space
• Bi-level work surface illumination
• Integrated cable and tube management
Physical Specifications
Dimensions
Height:
134.5 cm/52.9 in
Width:
72 cm/28.3 in
Depth:
73 cm/28.7 in
Weight:
Approximately 125 kg/275 lb
Top shelf
Weight limit: 34 kg/75 lb
Width:
66 cm/26 in
Depth:
40 cm/15.75 in
Ventilator Operating Specifications
Work surface
Height:
81.7 cm/32.2 in
Modes of ventilation – standard
Size:
2640 cm2/409 in2
VCV (Volume Control) Mode with tidal volume compensation
DIN rail
Modes of ventilation – optional
Side of machine:
34.5 cm/13.6 in
Drawers (internal dimensions)
Height:
17.5 cm/6.9 in
Width:
33 cm/13 in
Depth:
26.5 cm/10.4 in
Absorber bag arm (optional)
Arm length: 30.5 cm/12 in
Bag arm height (adjustable): 87 cm/34.3 in
104 cm/40.9 in
Pressure Control
SIMV (Synchronized Intermittent Mandatory Ventilation) (volume and pressure)
PSVPro (Pressure Support with Apnea backup)
Ventilator parameter ranges
Tidal volume range:
20 to 1500 mL (Volume Control and SIMV modes)
20 to 100 mL (increments of 5 mL)
100 to 300 mL (increments of 10 mL)
300 to 1000 mL (increments of 25 mL)
1000 to 1500 mL (increments of 50 mL)
Diameter:
12.5 cm/5 in
Incremental settings:
Brakes:
Individual locking front casters
Minute volume range:
0 to 99.9 L/min
Pressure (Pinspired) range:
5 to 60 cm H2O (increments of 1 cm H2O)
5 to 1500 mL volume delivery
Pressure (Plimit) range:
12 to 100 cm H2O (increments of 1 cm H2O)
Pressure (Psupport) range:
Off, 2 to 40 cm H2O (increments of 1 cm H2O)
Rate:
4 to 100 breaths per minute for Volume Control and Pressure Control; 2 to 60 breaths per minute for SIMV, PSVPro and SIMV–PC+PSV (increments of 1 breath per minute)
Casters
2
Alarm settings
Inspiratory/
expiratory ratio:
2:1 to 1:8 (increments of 0.5)
Inspiratory time:
0.2 to 5.0 seconds (increments of 0.1 seconds) (SIMV and PSV Pro)
Trigger window:
0 to 80% (increments of 5%)
Flow trigger: 1 to 10 L/min (increments of 0.5 L/min)
0.2 to 1 L/min (increments of 0.2 L/min)
Inspiration termination level:
5 to 50% (increments of 5%)
Tpause:
Off, 5 to 60% (increments of 5%)
(VCV and SIMV/PSV modes)
Positive End Expiratory Pressure (PEEP)
Type:
Integrated, electronically controlled
Range:
OFF, 4 to 30 cm H2O (increments of 1 cm H2O)
Ventilator performance
Pressure range at inlet:
240 kPa to 700 kPa/
35 psig to 100 psig
Peak gas flow:
120 L/min + fresh gas flow
Flow valve range:
1 to 120 L/min
Flow compensation range: 200 mL/min to 15 L/min
Ventilator Accuracy
Delivery/monitoring accuracy
Volume delivery:
> 210 mL = better than 7%
< 210 mL = better than 15 mL
< 60 mL = better than 10 mL
Pressure delivery:
±10% or ±3 cm H2O
PEEP delivery:
±1.5 cm H2O
Volume monitoring:
> 210 mL = better than 9%
< 210 mL = better than 18 mL
< 60 mL = better than 10 mL
Pressure monitoring:
±5% or ±2 cm H2O
Tidal volume (VTE):
Low: OFF, 0 to 1500 mL
High: 20 to 1600 mL, OFF
Minute volume (VE):
Low: OFF, 0 to 10 L/min
High: 0 to 30 L/min, OFF
Inspired oxygen (FiO2):
Low: 18 to 100%
High: 19 to 100%, OFF
Apnea alarm:
Mechanical ventilation ON: < 5 mL breath measured in 30 seconds
Mechanical ventilation OFF: < 5 mL breath measured in 30 seconds
Low airway pressure:
4 cm H2O above PEEP
High pressure:
12 to 100 cm H2O (increments of 1 cm H2O)
Sustained airway pressure: Mechanical ventilation ON: Plimit < 30 cm H2O, the sustained limit is 6 cm H2O
Plimit 30 to 60 cm H2O, the sustained limit is 20% of Plimit
Plimit > 60 cm H2O, the sustained limit is 12 cm H2O
PEEP and mechanical ventilation ON:
Sustained limit increases by PEEP minus 2 cm H2O
Mechanical ventilation OFF: Plimit ≤ 60 cm H2O, the sustained limit is 50% of Plimit
Plimit > 60 cm H2O, the sustained limit is 30 cm H2O
Subatmospheric pressure: Paw < -10 cm H2O
Alarm silence countdown timer:
120 to 0 seconds
3
Ventilator Components
Compact Airway Modules
Flow transducer
General
Type:
Variable orifice flow sensor
Dimensions: 22 mm OD and 15 mm ID
Location:
Inspiratory outlet and expiratory inlet
(Optional autoclavable sensor available)
Size (W x D x H):
75 x 215 x 112 mm/
2.9 x 8.4 x 4.4 in
Weight:
1.6 kg/3.7 lb
Sampling rate:
Oxygen sensor
Type:
M-CAiO, M-CAiOV, M-CAiOVX module software version 3.2 or higher; E-CAIO, ECAiOV, E-CAiOVX
Optional galvanic fuel cell or paramagnetic with MGAI option
Ventilator screen
Display size: 31 cm/12.1 inch diagonal
Pixel format: 800 (H) x 600 (V)
Battery backup
Backup power:
Demonstrated battery time under typical operating conditions is 90 + minutes when fully charged. Battery time under extreme conditions is 30 minutes.
Battery type:
Internal rechargeable sealed lead acid
Communication ports
RS-232C compatible serial interface
Ethernet
200 mL/min ±20 mL
Automatic compensation for atmospheric pressure variation
(500 to 800 mmHg) temperature and CO2/N2O and CO2/O2
collision broadening effect. Parameter display update interval typically breath-by-breath. Functional alarms for
blocked sample line, D-fend check and D-fend replacement.
Non-disturbing gases:
Ethanol, acetone, methane, nitrogen, nitric oxide, carbon
monoxide, water vapor:
Maximum effect on readings: CO2 < 0.2 vol %; O2 < 2 vol %
Carbon dioxide (CO2)
EtCO2:
End-tidal CO2 concentration
FiCO2:
Inspired CO2 concentration
CO2 waveform
Measurement range:
0 to 15% (0 to 15 kPa, 0 to 113 mmHg)
Accuracy:
±0.3 vol %*
Datex-Ohmeda infrared sensor
Datex-Ohmeda device interface solutions port
USB port
Adjustable low and high alarm limits for EtCO2 and FiCO2
Respiration Rate (RR)
Anesthetic Agent Delivery
Measurement range:
4 to 60 breaths per second
Delivery
Detection criteria:
1% variation in CO2
Vaporizers: Tec® 5, Tec 6 Plus, Tec 7
Number of positions:
2
Mounting:
4
Tool-free installation Selectatec® manifold interlocks and isolates vaporizers
Adjustable low and high alarm limits for respiration rate;
alarm for apnea
Patient Oxygen (O2)
FiO2:
Inspired O2 concentration
EtO2:
End-tidal O2 concentration
FiO2-EtO2:
Inspired-expired difference
* Typical value
** Measurement not valid with O2 and N2O mixtures
O2 waveform
Measurement range:
0 to 100 %
Accuracy:
±2 vol %*
Datex-Ohmeda differential paramagnetic sensor
Adjustable low and high alarm limits for FiO2 and EtO2; alarm for FiO2 < 18%
Nitrous Oxide (N2O)
Measurement range:
0 to 100%
Accuracy:
±3 vol %*
FiN2O > 82% alarm
Anesthetic Agent (AA)
Halothane, Isoflurane, Enflurane
Measurement range: 0 to 6%
Accuracy:
±0.2 vol %*
Sevoflurane
Measurement range:
Accuracy:
Desflurane
Measurement range:
Accuracy:
0 to 8%
±0.2 vol %*
0 to 20%
0 to 5% ±0.2 vol %*
5 to 10% ±0.5 vol %
10 to 20% ±1 vol %*
Tidal volume
Measurement range:
Accuracy*:
150 to
15 to
2000 mL
300 mL
±6% or 30 mL ±6% or 4 mL
Minute volume
Measurement range:
Accuracy*:
2 to 20 L/min 0.5 to 5 L/min
±6%
±6%
Airway pressure
Measurement range:
Accuracy*:
Display units:
-20 to -20 to +100 cm H2O +100 cm H2O
±1 cm H2O
±1 cm H2O
cm H2O, mmHg, kPa, mbar, hPa
Flow
Measurement range:
1.5 to 100 L/min
I:E
Measurement range:
1:4.5 to 2:1
Compliance
Measurement range:
4 to 100
mL/cm H2O
Airway resistance
Measurement range:
0 to 40 cm H2O/L/s
0.25 to 25 L/min
1 to 100
mL/cm H2O
Sensor specifications
D-lite
Pedi-lite
Waveform displayed
Dead space: 9.5 mL
2.5 mL
MAC value displayed
Resistance
at 30 L/min:
at 10 L/min:
0.5 cm H2O
1.0 cm H2O
Identification threshold:
0.15 vol %*
Agent mixture detection
Adjustable high and low alarm limits for EtAA, FiAA
Patient
Spirometry™
(available in Datex-Ohmeda Anesthesia Monitor module bay)
Pressure-volume loop
Flow-volume loop
Airway pressure and flow waveforms
Adjustable low and high alarm limits for Ppeak, PEEPtot and
MVexp
Alarms for MVexp << MVinsp and for MVexp low. Detection
through D-lite® or Pedi-lite® flow sensor and gas sampler
with following specifications:
Respiration rate:
D-lite
Pedi-lite
Gas exchange** (available in Datex-Ohmeda Anesthesia Monitor module bay)
VO2:
Oxygen consumption
VCO2:
Carbon dioxide production
Measurement range:
20 to 1000 mL/min
Respiration rate range:
4 to 35 bpm
Accuracy
FiO2 < 65%: ±10% or 10 mL
65% < FiO2 < 85%:
±15% or 15 mL
Detection through D-lite flow sensor or Pedi-lite flow sensor
and gas sampler (see the measurement ranges and sensor
specifications above).
4 to 35
4 to 50
breaths/min breaths/min
* Typical value
** Measurement not valid with O2 and N2O mixtures
5
Electrical Specifications
Current leakage
100/120 V: Alternate O2 (safety flow)
< 300µA
Power
Power input: 100-120 Vac, 50/60 Hz
Power cord: Length:
Rating:
5 m/16.4 ft
10A @ 220 Vac or 15A @ 120 Vac
Range:
500 mL/min minimum to 10 L/min
Indicator:
Flow tube
Indicator accuracy:
±5% full scale
Fresh gas
Flow range: 0 and 150 mL/min to 15 L/min (minimal flow capable)
Total flow accuracy:
±10% or ±40 mL/min of setting (larger of)
O2 flow accuracy:
±5% or ±20 mL/min of setting (larger of)
Pneumatic Specifications
Balance gas flow accuracy:
±5% or ±20 mL/min of setting (larger of) Air/N2O
Auxiliary common gas outlet (optional)
O2 concentration range:
25% to 100%
Connector: O2 concentration accuracy: ±8% V/V for flows < 400 mL/min
±5% V/V for flows > 400 mL/min to 1 L/min
±2.5% setting for flows > 1 L/min
Electronic mixer response time:
500mS (10% to 90% flow step)
Compensation:
Temperature and atmospheric pressure compensated to standard conditions of 20°C and 101.3 kPa
Hypoxic guard:
Electronic
Inlet/outlet modules (100V)
System circuit breakers:
15A
Outlets (optional):
3 outlets on back, 2-2A, 1-4A individual breakers, isolation transformer standard
ISO 22 mm OD and 15 mm ID
Gas supply
Pipeline input range:
280 kPa to 600 kPa/
41 psig to 88 psig
Pipeline connections:
DISS-male, DISS-female, DIN 13252, AS4059, BSPP 3/8, S90-116, or NIST All fittings available for O2, N2O, and Air, and contain pipeline filter and check valve.
Cylinder input:
valve.
Pin indexed in accordance with CGA-V-1 or DIN (nut and gland); contains input filter and check
Note: Maximum 2 cylinders
Primary regulator diaphragm minimum burst pressure:
2758 kPa/400 psig
Primary regulator nominal output:
≤ 345 kPa/50 psig
Pin indexed cylinder and DIN cylinder connections
N2O shut off with loss of O2 pressure
Supply failure alarm:
Range: 193 kPa to 221 kPa/
28 psig to 32 psig
Sounds at maximum volume every 10 seconds
6
Range: > 35 L/min
O2 flush:
All materials in contact with patient breathing gases are free
of natural rubber latex.
Environmental Specifications
O2 controls
Method:
Materials
System operation
Temperature:
to 104°F
10° to 40°C/50°
Humidity:
15 to 95% relative humidity (non-condensing) per IEC 68-2-3
Altitude:
-440 to 3565 m/
500 to 800 mmHg
System storage
Materials
Temperature:
to 140°F
Humidity:
10 to 95% relative humidity (non-condensing) per IEC 68-2-3
Altitude:
-440 to 5860 m/
375 to 800 mmHg
Oxygen cell storage:
-25° to 60°C/-13°
-15° to 50°C/5° to 122°F
10 to 95% relative humidity
500 to 800 mmHg
Electromagnetic compatibility
Immunity:
Complies with all requirements of EN 60601-1-2
Emissions:
CISPR 11 group 1 class B
Approvals:
UL 2601-1, CSA C22.2 #601.1,
EN/IEC 60601-1,
CE 0197, EN 740
Breathing Circuit Specifications
Operational modes
Breathing circuit is circle mode; SCGO option converts to
open circuit mode
Carbon dioxide absorbent canister
Absorbent capacity:
800 g
Integrated expiratory limb water reservoír
Ports and connectors
Exhalation: 22 mm OD ISO 15 mm ID taper
Inhalation: 22 mm OD ISO 15 mm ID taper
Bag port:
22 mm OD
Bag-to-Ventilator switch
Type:
Bi-stable
Control:
Controls ventilator and direction of breathing gas within the circuit
Integrated Adjustable Pressure Limiting (APL) valve
Range:
All materials in contact with exhaled patient gases are autoclavable, except disposable flow sensors, O2 cell, and M-CAiOVX or ECAiOVX module. (Autoclavable flow sensors optional)
All materials in contact with patient gas are free of natural
rubber latex.
Breathing circuit parameters
Compliance: Bag mode:
1.82 mL/cm H2O
Mechanical mode:
Automatically compensates for compression losses within the
absorber and bellows assembly
Total circuit volume: 2.7 L Vent Mode, 1.2 L Bag Mode
Note: Includes Absorber volume
Expiratory resistance:
Pexp Vent Mode
Pexp Bag Mode Flow ratePressure dropPressure drop
10 L/min
0.78 cm H2O
0.77 cm H2O
30 L/min
1.59 cm H2O
1.71 cm H2O
60 L/min
3.48 cm H2O
3.88 cm H2O
Note: With patient circuit and wye piece add +0.89 cm H2O
Anesthetic gas scavenging
AGSS Type Hospital extract
system required
Machine
connection
High vacuum, low flow with indicator:
High vacuum
36 L/min @ 12 in Hg (305 mmHg)
DISS evac
High vacuum, variable flow with bag indicator:
High vacuum
30 L/min extract flow @ 12 in Hg (305 mmHg)
DISS evac
Passive:
Passive or external 30 mm/1.2 in
active system
M ISO taper
with air break
0.8 to 70 cm H2O
Tactile knob indication at: 30 cm H2O and above
Adjustment range of rotation: 0.8 to 30 cm H2O (0 to 230°)
30 to 70 cm H2O (230 to 330°)
7
© 2010 General Electric Company – All Rights Reserved.
General Electric Company reserves the right to make
changes in specification and features shown herein,
or discontinue the product described at any time without
notice or obligation. Contact your GE representative for
the most current information.
GE and GE Monogram are trademarks of General Electric Company.
Avance, ABS, Tec, PSVPro, Selectatec, D-lite,
Pedi-lite, and Patient Spirometry are trademarks
of General Electric Company.
D-lite, Pedi-lite, and Patient Spirometry are trademarks of GE Healthcare Finland Oy.
Datex-Ohmeda, Inc., a General Electric company,
doing business as GE Healthcare.
About GE Healthcare
GE Healthcare provides transformational medical
technologies and services that are shaping a new age of
patient care. Our broad expertise in medical imaging and
information technologies, medical diagnostics, patient
monitoring systems, drug discovery, biopharmaceutical
manufacturing technologies, performance improvement
and performance solutions services help our customers
to deliver better care to more people around the world at a lower cost. In addition, we partner with healthcare
leaders, striving to leverage the global policy change
necessary to implement a successful shift to sustainable
healthcare systems.
Our “healthymagination” vision for the future invites the world to join us on our journey as we continuously
develop innovations focused on reducing costs, increasing access and improving quality and efficiency
around the world.
GE Healthcare
www.gehealthcare.com
AN-0105-01.07-EN-US